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Organization
FAMILY WALK IN MEDICAL CENTER, PC
Active
Organization
FAMILY WALK IN MEDICAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAGUFTA HASAN MD (MEDICAL DIRECTOR)
(503) 531-3858
Entity
Organization
Contact information
Practice address
15280 NW CENTRAL DR, SUITE 204, PORTLAND, OR 97229
(503) 531-3858
(503) 645-1110
Mailing address
15280 NW CENTRAL DR, SUITE 204, PORTLAND, OR 97229
(503) 531-3858
(503) 645-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2008
Last updated
03/22/2016
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